Individual provider Active NPI

Michele Susette Stewart, APRN

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1932473428
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN001353 Issued in NV
Practice address
1101 W Moana LN
Suite 2
Reno, NV 89509-4775
Phone
(775) 337-2394
Fax
(775) 337-9570
NPI assigned
Feb 29, 2012
Last updated
Oct 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN001353 NV Primary

Addresses

Primary practice location

1101 W Moana LN
Suite 2
Reno, NV 89509-4775

Mailing address

1101 W Moana LN
Suite 2
Reno, NV 89509-4775
Phone (775) 337-2394

Other identifiers 1

IdentifierTypeStateIssuer
810550989MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APN001353NVMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1932473428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W MOANA LN",
            "address_2": "SUITE 2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094775",
            "telephone_number": "775-337-2394",
            "fax_number": "775-337-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W MOANA LN",
            "address_2": "SUITE 2",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094775",
            "telephone_number": "775-337-2394",
            "fax_number": "775-337-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "MICHELE",
        "middle_name": "SUSETTE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-29",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APN001353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "810550989",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.